Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1405
4
1
gregorian
2026
7
1
25
4
online
1
fulltext
fa
ارزیابی محتوای بسته مداخله کوتاه‌مدت روان‌شناختی و پیگیری پس از ترخیص برای افراد با سابقه اقدام به خودکشی: یک مطالعه کیفی
Qualitative Evaluation of the Content of a Brief Psychological Intervention and Post-Discharge Follow-Up Package for Individuals with Attempted Suicide: A Qualitative Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> خودکشی یکی از مهم‌ترین چالش‌های سلامت عمومی در جهان است و سالانه حدود </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۷۲۰</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> هزار نفر جان خود را بر اثر آن از دست می‌دهند. مداخلات روان‌شناختی کوتاه‌مدت همراه با پیگیری پس از ترخیص از راه‌کارهای مؤثر در کاهش خطر اقدام مجدد به خودکشی محسوب می‌شوند. این مطالعه با هدف ارزیابی محتوای بسته مداخله کوتاه‌مدت روان‌شناختی و پیگیری پس از ترخیص در مراکز جامع سلامت شهر تهران انجام شد.</span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:110%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مواد و روش‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> این مطالعه کیفی در سال </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۱۴۰۳</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> در مراکز سلامت روان شهر تهران انجام شد. نمونه‌گیری به‌صورت هدف‌مند انجام گرفت و </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۱۳</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> نفر شامل </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۷</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> کارشناس سلامت روان و </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۶</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> فرد با سابقه اقدام به خودکشی در مطالعه مشارکت داشتند. داده‌ها از طریق مصاحبه‌های عمیق نیمه‌ساختاریافته گردآوری و از روش تحلیل محتوای مرسوم استفاده شد. گزارش مطالعه بر اساس چک‌لیست </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۳۲</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> موردی </span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:110%">COREQ</span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> انجام شد.</span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:110%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یافته‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> تحلیل داده‌ها به استخراج </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">۸۲</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> کد اولیه، </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">13 </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">طبقه و </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">4 </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">تم اصلی منجر شد. نتایج نشان داد که این مداخله در کاهش خطر اقدام مجدد به خودکشی و بهبود سلامت روان مؤثر است، اما برای افزایش اثربخشی، نیازمند انطباق بیشتر با زمینه‌های فرهنگی و تقویت حمایت‌های پس از ترخیص است.</span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:110%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نتیجه‌گیری:</span></span></span></b> <span lang="FA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مطالعه حاضر نشان داد که </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">به‌کارگیری بسته مداخله کوتاه‌مدت روان‌شناختی همراه با پیگیری پس از ترخیص می‌تواند در کاهش خطر اقدام مجدد به خودکشی مؤثر باشد. بازنگری در محتوای بسته با تأکید بر انطباق فرهنگی و تقویت حمایت‌های درمانی می‌تواند اثربخشی این مداخله را افزایش دهد.</span></span></span><b><span dir="LTR" style="font-size:9.5pt"><span style="line-height:110%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">واژه‌های کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> خودکشی، مداخله روان‌شناختی کوتاه‌مدت، پیگیری پس از ترخیص، سلامت روان، مطالعه کیفی</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a> <span style="font-size:9.0pt"><span style="line-height:140%">Suicide is one of the most significant public health challenges worldwide, claiming approximately 720,000 lives annually. Brief psychological interventions combined with post-discharge follow-up are considered effective strategies for reducing the risk of repeat suicide attempts. This study aimed to evaluate the content of a brief psychological intervention and post-discharge follow-up package implemented in comprehensive health centers in Tehran.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This qualitative study was conducted in 2024 at mental health centers in Tehran. Purposive sampling was used, and 13 participants, including 7 mental health professionals and 6 individuals with a history of suicide attempt, participated in the study. Data were collected through semi-structured in-depth interviews and analyzed using conventional content analysis. The study was reported based on the 32-item COREQ checklist.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Data analysis resulted in the extraction of 82 initial codes, 13 categories, and 4 main themes. The findings indicated that this intervention was effective in reducing the risk of repeated suicide attempts and improving mental health; however, greater adaptation to the cultural context and strengthening post-discharge support are needed to enhance its effectiveness.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> The implementation of a brief psychological intervention package combined with post-discharge follow-up can contribute to reducing the risk of repeat suicide attempts. Revising the intervention package, with an emphasis on cultural adaptation and strengthening therapeutic support, may further enhance its effectiveness.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Suicide, Brief psychological intervention, Post-discharge follow-up, Mental health, Qualitative study</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This study was funded by the Student Research Committee of Iran University of Medical Sciences.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Ethical Considerations (Code of Ethics):</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> The Ethics Committee of Iran University of Medical Sciences approved the study (IR.IUMS.REC.1402.177).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors’ contributions</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marziyeh Ghahramani, Fateme Heiydari, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marziyeh Ghahramani, Fateme Heiydari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Formal analysis:</span></span></b> <span style="font-size:9.0pt"><span style="line-height:140%">Marziyeh Ghahramani, Fateme Heiydari, Kazem Malakouti, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Kazem Malakouti, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marziyeh Ghahramani, Fateme Heiydari, Shahrbanoo Ghahari</span></span></span></span></span></span></span><br>
<b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Writing – review & editing:</span></span></span></b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> Marziyeh Ghahramani</span></span></span>
خودکشی, مداخله روان‌شناختی کوتاه‌مدت, پیگیری پس از ترخیص, سلامت روان, مطالعه کیفی
Suicide, Brief psychological intervention, Post-discharge follow-up, Mental health, Qualitative study
381
396
http://journal.rums.ac.ir/browse.php?a_code=A-10-6909-2&slc_lang=fa&sid=1
Marziyeh
Ghahramani
مرضیه
قهرمانی
marziyhghahramani@gmail.com